| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.67 | $192.67 | $192.67 | |
Aetna
| Professional | $146.74 | $146.74 | $508.74 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $149.02 | $197.78 | $299.92 | |
United
| Professional | $249.47 | $249.47 | $249.47 |